Individual
WILLIAM T DEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2420 LINWOOD DR, PARAGOULD, AR 72450-6122
(870) 236-9756
(870) 236-9356
Mailing address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151
(573) 778-4699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-4148
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155020001
—
AR
Enumeration date
11/30/2006
Last updated
08/06/2020
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